For me, the car picked up a vibration, which was worse at certain RPM's, kinda like when you have a wheel that needs balancing. The engine performance was fine, no backfiring or stumbling, no loss in power or acceleration, no blowing smoke or leaking/burning fluids, no strange sounds, but the car had a hell of a shake. There were no engine lights or codes. I didn't do a diagnostic check, but I know that I had never replaced it, and my car has over 144,000 on it. I replaced the plugs and wires (which needed to be changed anyway) and the problem didn't change. A lot of other guys seemed to be having this problem with higher mileage cars, so I took a chance, dissassembled, and saw that the rubber had slid out, slightly, to the back. It was so small a change that I didn't even think that was the problem until I re-assembled it all with the new balancer and started it up. If I hadn't actually taken it apart, I never could have visually known.
The guys on the forum pointed me in that direction.